MovDisordV3, Main, Merge, bibRecord, 002822

A New Rating Instrument to Assess Festination and Freezing Gait in Parkinsonian Patients

Identifieur interne : 002822 ( Main/Merge ); précédent : 002821; suivant : 002823

A New Rating Instrument to Assess Festination and Freezing Gait in Parkinsonian Patients

Auteurs : Kerstin Ziegler [Allemagne] ; Frauke Schroeteler [Allemagne] ; Andres O. Ceballos-Baumann [Allemagne] ; Urban M. Fietzek [Allemagne]

Source :

Movement disorders [ 0885-3185 ] ; 2010.

RBID : Pascal:10-0315062

Descripteurs français

Pascal (Inist)
- Maladie de Parkinson, Trouble de la marche, Pathologie du système nerveux, Instrument, Congélation, Homme.
Wicri :
- topic : Congélation, Homme.

English descriptors

KwdEn :
- Freezing, Gait disorder, Human, Instrument, Nervous system diseases, Parkinson disease.

Abstract

Festination and freezing of gait (FOG) are sudden episodic inabilities to initiate or sustain locomotion mostly experienced during the later stages of Parkinson's disease (PD) or other higher-level gait disorders. The aim of this study was to develop a clinical rating instrument for short-interval rating of festination and FOG. Foot movements of 33 patients were video taped and rated during 12 episodes in a standardized course on a four-level interval scale according to severity. Motor blocks were provoked in four situations and by three levels of dual-tasking (tasks). Addition of the item scores produced a FOG score. The assessment requires less than 15 min. The inter-rater and re-test reliability of the FOG score is high (Kendall κ = 0.85-0.92, P < 0.0001). Variability of the item scale due to situations and tasks can be attributed to unidimensional group factors (Cronbach's α 0.84 and 0.94). Group comparisons and a logistic regression model show significant effects for both situations and tasks on the item scale (Friedman test: "situation": P < 0.0001, "task": P < 0.0001). Six patients with PD have significantly different scores during mobile (practical ON; 6.2 ± 3.9) and immobile (practical OFF; 15.8 ± 4.6) medication states (P < 0.05). The FOG score correlates with the 10 m number of steps (p = 0.58; P = 0.001) and with the self-evaluation of FOG (p = 0.51; P < 0.01). Our results encourage the further use of the FOG score to evaluate festination and FOG.

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Pascal:10-0315062

Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">A New Rating Instrument to Assess Festination and Freezing Gait in Parkinsonian Patients</title>
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<author><name sortKey="Schroeteler, Frauke" sort="Schroeteler, Frauke" uniqKey="Schroeteler F" first="Frauke" last="Schroeteler">Frauke Schroeteler</name>
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<term>Nervous system diseases</term>
<term>Parkinson disease</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term>
<term>Trouble de la marche</term>
<term>Pathologie du   système nerveux</term>
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<term>Homme</term>
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<front><div type="abstract" xml:lang="en">Festination and freezing of gait (FOG) are sudden episodic inabilities to initiate or sustain locomotion mostly experienced during the later stages of Parkinson's disease (PD) or other higher-level gait disorders. The aim of this study was to develop a clinical rating instrument for short-interval rating of festination and FOG. Foot movements of 33 patients were video taped and rated during 12 episodes in a standardized course on a four-level interval scale according to severity. Motor blocks were provoked in four situations and by three levels of dual-tasking (tasks). Addition of the item scores produced a FOG score. The assessment requires less than 15 min. The inter-rater and re-test reliability of the FOG score is high (Kendall κ = 0.85-0.92, P < 0.0001). Variability of the item scale due to situations and tasks can be attributed to unidimensional group factors (Cronbach's α 0.84 and 0.94). Group comparisons and a logistic regression model show significant effects for both situations and tasks on the item scale (Friedman test: "situation": P < 0.0001, "task": P < 0.0001). Six patients with PD have significantly different scores during mobile (practical ON; 6.2 ± 3.9) and immobile (practical OFF; 15.8 ± 4.6) medication states (P < 0.05). The FOG score correlates with the 10 m number of steps (p = 0.58; P = 0.001) and with the self-evaluation of FOG (p = 0.51; P < 0.01). Our results encourage the further use of the FOG score to evaluate festination and FOG.</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
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<tree><country name="Allemagne"><region name="Bavière"><name sortKey="Ziegler, Kerstin" sort="Ziegler, Kerstin" uniqKey="Ziegler K" first="Kerstin" last="Ziegler">Kerstin Ziegler</name>
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<name sortKey="Ceballos Baumann, Andres O" sort="Ceballos Baumann, Andres O" uniqKey="Ceballos Baumann A" first="Andres O." last="Ceballos-Baumann">Andres O. Ceballos-Baumann</name>
<name sortKey="Fietzek, Urban M" sort="Fietzek, Urban M" uniqKey="Fietzek U" first="Urban M." last="Fietzek">Urban M. Fietzek</name>
<name sortKey="Schroeteler, Frauke" sort="Schroeteler, Frauke" uniqKey="Schroeteler F" first="Frauke" last="Schroeteler">Frauke Schroeteler</name>
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	Movement Disorders (revue)
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Movement Disorders (revue)

A New Rating Instrument to Assess Festination and Freezing Gait in Parkinsonian Patients

A New Rating Instrument to Assess Festination and Freezing Gait in Parkinsonian Patients

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri